Doctor Name: | SHELLY LYNN ABERNATHY |
NPI Number: | 1154435725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | A5682 |
Business Practice Address: | 612 Highway 150 South West Union, IA - 521750348 |
Business Phone Number: | 5634225278 |
Business Fax Number: | 5634228800 |
Mailing Address: | P.o. Box 348, 612 Highway 150 South WEST UNION |
State: | IA |
Postal Code: | 521750348 |
Phone Number: | 5634225278 |
Fax Number: | 5634228800 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | A5682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |